Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ASCENSION BORGESS LEE HOSPITAL

NPI: 1194717504 · DOWAGIAC, MI 49047 · Rural Health Clinic/Center · NPI assigned 08/22/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOUGHTON, MARINA controls 20+ related entities in our dataset. Read more

$2.70M
Total Medicaid Paid
104,066
Total Claims
96,017
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOUGHTON, MARINA (CFO)
NPI Enumeration Date08/22/2005

Related Entities

Other providers sharing the same authorized official: HOUGHTON, MARINA

ProviderCityStateTotal Paid
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $43.08M
ASCENSION MEDICAL GROUP PROMED KALAMAZOO MI $10.60M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $7.97M
ASCENSION BORGESS LEE HOSPITAL DOWAGIAC MI $6.88M
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $6.03M
ASCENSION BORGESS HOSPITAL PLAINWELL MI $4.84M
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $3.71M
ASCENSION BORGESS HOSPITAL PLAINWELL MI $3.71M
ASCENSION MEDICAL GROUP PROMED KALAMAZOO MI $2.55M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $2.07M
ASCENSION MEDICAL GROUP PROMED PORTAGE MI $1.64M
ASCENSION BORGESS LEE HOSPITAL DOWAGIAC MI $1.58M
ASCENSION BORGESS HOSPITAL PORTAGE MI $1.22M
ASCENSION BORGESS ALLEGAN HOSPITAL GOBLES MI $298K
ASCENSION BORGESS ALLEGAN HOSPITAL OTSEGO MI $294K
ASCENSION BORGESS ALLEGAN HOSPITAL FENNVILLE MI $246K
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $91K
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $55K
ASCENSION BORGESS ALLEGAN HOSPITAL ALLEGAN MI $43K
ASCENSION BORGESS HOSPITAL KALAMAZOO MI $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,815 $573K
2019 18,630 $487K
2020 12,170 $320K
2021 13,645 $369K
2022 10,353 $266K
2023 16,996 $416K
2024 9,457 $266K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 44,996 39,999 $2.41M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 24,126 22,527 $140K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,183 11,663 $53K
Q3014 Telehealth originating site facility fee 3,631 3,532 $31K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,885 3,768 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 746 741 $7K
90834 Psychotherapy, 45 minutes with patient 1,355 966 $7K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 562 552 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 626 617 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 506 503 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 559 559 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 423 415 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,738 1,727 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 245 245 $3K
90472 Immunization administration, each additional vaccine (list separately) 890 887 $3K
99000 398 391 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,305 1,168 $2K
99215 Prolong outpt/office vis 356 348 $2K
90677 141 141 $1K
81002 1,540 1,472 $1K
90686 340 340 $941.69
90651 159 158 $688.02
99442 27 26 $402.93
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 109 108 $361.32
90656 86 86 $357.60
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 20 20 $354.30
90715 43 43 $154.00
90734 170 169 $128.85
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 66 64 $107.54
83036 Hemoglobin; glycosylated (A1C) 56 55 $77.81
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 54 54 $76.08
90723 75 75 $26.50
J1040 Injection, methylprednisolone acetate, 80 mg 49 49 $24.04
90474 13 13 $24.00
81025 30 30 $18.96
81003 46 45 $11.22
90647 242 242 $9.75
J1885 Injection, ketorolac tromethamine, per 15 mg 54 54 $9.10
85018 41 41 $7.84
90620 45 45 $0.00
90680 42 42 $0.00
82962 13 12 $0.00
91301 12 12 $0.00
90700 138 138 $0.00
99051 1,381 1,331 $0.00
90633 161 161 $0.00
90710 170 170 $0.00
90670 201 201 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 12 12 $0.00